Individual Case Management

Sometimes when faced with a significant illness, members and their loved ones need help making informed decisions about care. Our case management program can help take the burden off their shoulders while also controlling costs for members and employers.
Our case management program is a collaborative process that ensures members get medically necessary care in an appropriate, cost effective setting by assisting members and their caregivers in making informed decisions based on their needs and health plan benefits.
Typically, we identify members who could benefit from individual case management through utilization management, claims administration, employer groups, providers, and self-referrals.